<form action="https://ssl.dotpay.pl/" method="POST" target="_blank"><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><input type="hidden" name="id" value="66896" /><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><label style="font-family: Arial; display: block; margin-bottom: 10px; text-align: center;">Darowizna on-line<br/><font size="1">(podaj kwotę)</font></label><!-- [et_pb_line_break_holder] --><center><!-- [et_pb_line_break_holder] --><input type="text" name="amount" style="margin-bottom: 10px; width: 50%; max-width:400px; padding:5px; margin:0 auto;taxt-elign:center;" placeholder="Wpisz kwotę PLN"/><!-- [et_pb_line_break_holder] --></center><!-- [et_pb_line_break_holder] --><label style="font-family: Arial; display: block; margin-bottom: 10px;"><input type="hidden" name="description" value="Darowizna" /></label><!-- [et_pb_line_break_holder] --><input style="clear: both; display: block;margin:0 auto;" type="image" src="https://ssl.dotpay.pl/img/dotpay_b2_160x83.gif" /><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><!-- ---------------------------------------------------------------------- --><!-- [et_pb_line_break_holder] --></center>